Active NPI
Joan Chappelle, LPCC
- Professional Counselor
- Yellow Springs, OH
National Provider Identifier
1770608390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E-0000582
- Practice address
- 105 W North College St
Yellow Springs, OH 45387-1500 - Phone
- (937) 776-4463
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E-0000582 | OH | Primary |
Addresses
Primary practice location
105 W North College St
Yellow Springs, OH 45387-1500
Mailing address
163 E Herman St
Yellow Springs, OH 45387-1602
Phone (937) 776-4463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000002536 | Other | OH | BCBS MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 23, 2024 through Apr 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-0000582 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770608390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 E HERMAN ST",
"city": "YELLOW SPRINGS",
"state": "OH",
"postal_code": "453871602",
"telephone_number": "937-776-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W NORTH COLLEGE ST",
"city": "YELLOW SPRINGS",
"state": "OH",
"postal_code": "453871500",
"telephone_number": "937-776-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELLE",
"first_name": "JOAN",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E-0000582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MAGELLAN",
"identifier": "000000002536",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yellow Springs, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.